Vitality Center

NPI #1023356524 in Tyler, Texas

Provider Information

NPI Number: 1023356524
Entity Type: Organization
Organization Name: Vitality Center
Primary Specialty: Physician Assistant
Enumeration Date: Jan 18, 2013
Last Updated: Jan 18, 2013

Practice Location

Address: 14444 EASTSIDE RD
City: Tyler
State: Texas
ZIP Code: 75707-6724
Phone: (214) 415-9334

Authorized Official

Name: MR. HARRISON LEWIS, PA
Title: PHYSICIAN ASSISTANT
Phone: (214) 415-9334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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